New - Infusion Prior Authorization Specialist – Remote Position – (Experienced)

NYX Health, LLC•Philadelphia, PA

1d•$21 - $23•Remote

About The Position

We’re looking for an EXPERIENCED U.S. based Infusion Prior Authorization Specialist with extensive, hands-on experience working prior authorizations in EPIC to join our Cancer Infusion Team. EPIC proficiency 4+ years is required. This is not an entry-level training position, and candidates who require basic training on EPIC will not be considered. You will be responsible for completing insurance verifications, submitting, and tracking prior authorizations, gathering required documentation, communicating with insurance payors and clinicians, and following authorizations through to approval while working within a dynamic team-oriented atmosphere.

Requirements

4+ years of infusion prior authorization experience -Required
Proficient EPIC
Strong communication, problem-solving, and organizational skills.
Detail-oriented, analytical, and able to multitask in a fast-paced environment.
Proficient in TEAMS
High School Diploma required
Experience in prior authorization, utilization review, insurance verification, and EMR systems.

Nice To Haves

additional education in business or healthcare preferred.

Responsibilities

Extensive hands-on proficiency in EPIC, including prior authorization workflows.
Extensive knowledge of Infusion PA management within a cancer center, including their authorization requirements, processes, and requirements.
Proven experience navigating complex insurance authorization requirements.
Ability to independently manage prior authorizations from submission through approval.
Communicate with providers and insurance companies regarding authorization status.
Maintain HIPAA compliance and support daily revenue cycle operations.